ABSTRACT
The experience of surgical treatment of 513 injured persons with severe closed thoracoabdominal trauma (CTAT) in an acute period was summarized. In 142 (27.8%) patients the hepatic injury was revealed. The CTAT structure, the diagnosis and surgical tactics peculiarities in the liver injury, complications, the mortality outcome causes were analyzed. Lethality was 64.1%.
Subject(s)
Abdominal Injuries/surgery , Liver/injuries , Liver/surgery , Thoracic Injuries/surgery , Wounds, Nonpenetrating/surgery , Abdominal Injuries/complications , Abdominal Injuries/mortality , Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Survival Rate , Thoracic Injuries/complications , Thoracic Injuries/mortality , Treatment OutcomeABSTRACT
Experience of surgical treatment of 513 injured persons with closed thoracoabdominal trauma (CTAT) in an acute period was summarized. Splenic damage was revealed in 123 (23.9%) of patients. The CTAT structure was suggested as well as peculiarities of diagnosis, surgical tactics in splenic injury, complications and causes of mortality were analyzed. Mortality was 43.9%.
Subject(s)
Abdominal Injuries/surgery , Spleen/injuries , Spleen/surgery , Thoracic Injuries/surgery , Adolescent , Adult , Aged , Female , Humans , Laparotomy/methods , Male , Middle Aged , Retrospective StudiesABSTRACT
The experience with diagnosis and treatment of closed abdominal injuries in a specialized department of polytrauma for 3 years is summarized. The diagnostic and surgical tactics in given pathology consisting in early diagnosis of possible injuries to the viscera and emergency operative intervention is presented.
Subject(s)
Abdominal Injuries/surgery , Multiple Trauma/surgery , Urinary Bladder/injuries , Wounds, Nonpenetrating/surgery , Abdominal Injuries/complications , Adult , Aged , Cystostomy/methods , Female , Humans , Male , Middle Aged , Rupture, Spontaneous , Suture Techniques , Urinary Bladder/surgery , Wounds, Nonpenetrating/complicationsABSTRACT
In all the 1746 patients, who died from trauma, the multiple and associated injuries were revealed. Multiple wounds of a head and thoracicoabdominal trauma, shock, blood loss, combination of two and more severe injuries were the leading cause of death. The aid to the patients with polytrauma at all the stages of treatment should be given with maximal promptitude, admission to the multiprofile hospitals is expedient.
Subject(s)
Abdominal Injuries/mortality , Craniocerebral Trauma/mortality , Fractures, Bone/mortality , Multiple Trauma/mortality , Thoracic Injuries/mortality , Abdominal Injuries/complications , Abdominal Injuries/therapy , Adolescent , Adult , Aged , Craniocerebral Trauma/complications , Craniocerebral Trauma/therapy , Emergency Medical Services/organization & administration , Female , Fractures, Bone/complications , Fractures, Bone/therapy , Humans , Male , Middle Aged , Multiple Trauma/therapy , Thoracic Injuries/complications , Thoracic Injuries/therapyABSTRACT
The first experience with diagnosis and treatment of open injuries to the abdomen in the specialized department of polytrauma is summarized. Surgical tactics stipulates early diagnosis of the possible injuries to the internal organs, and emergency operative intervention with the volume depending on the character of an injury, severity of the state of a patient.